Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 20549 | IA |
NPI | 1063418069 |
---|---|
Provider Name | Dr. James Joseph Voelker |
First Address | Dubuque, IA 52001-6319 |
Second Address | Dubuque, IA 52001-6319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0150060 | (05) | IA |
0150946 | (05) | IA |
E56335 | (02) |